Jack's Learning the Newborn Tarheel Fight Song

There's a break in Tarheel basketball action from Dec 4 to Dec 16...no games to watch for me & Jack. I had set to record the Dec 4 Tarheel game before Jack was born..so luckily, we were able to watch it during those first home, middle of the night feedings. It was another of those early season blow-outs. But of course as #1 fan, I'm watching how each player is playing...memorizing statistics, making predictions. We're early season ranked #1, then #2 (sorry Bruins on your loss), then #1 again...no losses yet for us. With Ty Lawson as point guard, I think we are a Final 4 team...I just hope to beat the Dukies in both games and seal up the ACC championship (once again...to make Coach K frown). This will be to a great advantage b/c we will be able to play first round NCAA tournament games in Raleigh, NC and then move on the Charlotte, NC for the 2nd round before going on the San Antonio for the Final Four. To enjoy the motivating home crowd/team advantage is a big advantage on the way to April 7...the night of the National Championship!

When I talk to Jack about all things Tarheel, he gives me that big eyed look of interest...I'm sure it's all sinking in to that little brain! Now speaking of Jack's eye color...it's not very evident right now....sometimes, I'm sure they will be blue. In certain light, they appear that way. But in other light, they look hazel...we'll have to see how they change.

I'm hearing Jack beginning the newborn Tarheel fight song...so more later:) Here's a picture us with Jack at 8 days old...all you neonatal nurses will see Jack wrapped in the infamous "bunny" blanket...with the Bunnies pointing in the up (right) direction...yes, you can take the girl out of the NICU but the NICU is still in the girl!

Seeking Passport Photo

Here's Jack at 8 days old....head resting on his frog silkie and loving his soothie pacifier. More firsts today...he peed on the wall....I laughed so hard that Tucker & Mr. Tarheel came in to see what was so funny. Jack screamed bloody murder b/c I was so tickled that I was slow changing all his clothes (again). We visited a breastfeeding specialist and Jack showed off for her...things are improving. His bilirubin or jaundice level was 12.4 (transcutaneous/skin) which is dropping and now officially in zone 1 (for all you know the AAP chart by heart....like me!). His weight was up to 7 lbs 9.8 oz---almost back to birthweight....since Friday at the Pediatrician visit (another posting)...he is gaining over 2 oz a day (milk guzzler).

We were the crazy parents at the Walgreen's photo center today...you know the ones..who are oblivious to everything else in the world...especially the fact that you are in a long line and they are doing something you think is stupid and taking way to long to do it. We were both trying to wake him up (after a feeding...bad idea) so we could have his passport photo taken. Yes, according to the United States government, an infant, must have their eyes open in a passport photo. We laughed so much but never got that photo! Now, I want to know, how they will use a newborn picture to identify him in a few months?

First Family Picture & Other Firsts

First Family Photo after Jack was born...You can't see Mr. Tarheel's smile but I know he had a big grin b/c of how his eyes looked. Poor Jack...he wasn't so happy getting pulled through a sun-roof into a bright, cold room.

There are other firsts...he laughed out loud last night. I don't know why but I imagined he was dreaming about how great his life will be! We went today & got our Christmas tree...his first Christmas is coming up....He also went to the grocery store for the first time. He was the quietest kid there...compared to all the toddlers asking for high sugary snacks. He's getting less jaundiced, eating well, and sleeping well...except between 1-3am...he likes quiet time with his Mom or Dad.

Sometimes, it's hard to believe. He's ours, all ours. Mr. Tarheel believed in this outcome. April believed for me when the HCG didn't rise normally. My believing has come in stages...one little step at a time. I'm almost there.

Thanks Dr. Tracy

Here's a picture of Dr. Tracy, getting ready to do my C-section...She was great for me emotionally and of course, the best skilled OB around. She remained a calming force for me throughout this long pregnancy, especially at the end. On the day of delivery, she handled everything so efficiently and reassured me constantly. When I saw her after the delivery, I asked her...now that he was born at 37 weeks, when did you really think he would be born? Remember, her prediction was to get to the "middle 30's" in gestation.... She smiled and said...I really did believe we would get there! Way to go...maybe she should open her own psychic office....So the day Jack was born, will always be remembered as a great day with no excepts at the end of the sentence!

Jack Update....well, he's still the cutest baby in Enumclaw! I'm biased, but it's really, really true! Jack is jaundiced and we were concerned, so we went to Swedish for a jaundice or bilirubin check last night. The level was 16 at 5 days of age, so he doesn't need phototherapy (18 was the treatment level). Guess what his Mom did....I guessed the level before I knew. I have ESPN...no, I mean ESP. My wonderful colleague, Alison, was SO helpful...thank you! She helped us get the level done and took time out of her busy day to spend time with us. Jack did something for the first time...he peed out of his diaper and on Sally, a night shift nurse. Sorry, Sally...I felt bad b/c she had to change her clothes.

My First Sight of Jack

Here's how Jack looked when I first saw him...I first saw the color pink (then exhaled) and then saw how handsome he was. He cried continuously during the first minutes of life and his apgars were 9 and 9!

The birth story would be way, way too long for one posting...you know my seem less rambling thoughts....so I'll give it in installments. Here we go...Mr. Tarheel & I had a visit with Dr. Tracy on Friday, Nov 30 with the plan to come back Monday, Dec 3rd for a NST/labs. Beforehand, I thought it could be that day, so I did pack my hospital bag (but unfortunately, I forgot to tell Mr. Tarheel to put it in the car...so we left it by the door that morning). The NST was normal and while we were waiting for the lab results to come back, we went to World Wraps, where I ate a nice steak burrito at 1130am (this insignificant detail becomes significant later:). When we returned to the office about noon to get the lab results, we noticed fire trucks around the administration building of Swedish and lots of people standing outside in the windy, pouring rain. The labs were mostly normal...platelets were low at 140K and uric acid above normal (officially) and increasing. Eva, Dr. Tracy's assistant, had called & told her my labs and she said she wanted to talk to us but couldn't leave the hospital b/c of some type of "electrical" fire in the hospital. Dr. Tracy wanted us to come back before 2:00pm to talk with her. So we went on a drive around Seattle, during the 2nd wettest day in Seattle's history, and guessed about what she was going to tell us. My guess was wrong....I thought she would say come back at the end of week again and maybe deliver next week. Mr. Tarheel dropped me off and after walking in to the office, I did not feel well. I asked Eva to take my BP again...earlier it had been 150/90 & stable. My BP was 168/100! Dr. Tracy came in & said...we need to have this baby....I said....today? The question was lung maturity...so she consulted her partner and the plan was to do an amnio to test for lung maturity and if mature, deliver. I had to ride in a wheelchair over to OB triage...which was initially weird but at least I wasn't short of breath, like when I was walking. I started worrying about the amnio but none of my fears were confirmed. It was less painful than a blood draw! Dr. Finch, radiologist, helped identify the best pocket of amniotic fluid and Jack held still and Dr. Tracy, aspirated (with a 22gauge needle...I had to ask) and the fluid was sent off stat, with the results usually taking 1-2 hours. My concept of time may not be precise, but I think the amnio was done about 3pm. So I started making my calls about what was happening....we knew we had to wait until my stomach was empty for 7-9 hours...so the delivery wouldn't be before 6:30pm.

More next time....Jack's waking up and I must go look into those beautiful eyes again!

My New Title: Mother

Here's Jack right after delivery...getting his first weight. There are many people to thank, but for starters..thanks to Dr. Tracy and my co-workers Deb & Cheryl for taking care of Jack at the delivery.

What an experience it was...giving birth and seeing our son for the first time. It's such a long story and I'm sure to describe every detail in excruciating detail...but later. We're back from the hospital and learning how to take care of Mr. Jack. It's a steep learning curve and we fell off of it on our first night home. But we don't think Jack is holding a grudge because he is loved so, so much.

I am a sum of my experiences, so the old wounds of infertility will be there forever...but growing there too, in my inner being, is the intense love I feel for Jack. I know there are people out there who will read this who are still in the trenches, so I hope, in some way, my story gives you hope.

I have learned not to take pregnancy and parenthood for granted. My dream---my wish for a child was complicated but now I can say inspiringly successful! I once read a series of essays from people who shared my same dream and their journeys. Here is my edited version of “Heedless Love” by Barbara Jones.

The irrevocable moment in becoming a parent is not the moment you conceive a child; it’s the moment you conceive of him. Maybe in your mind, he looks partly like you and partly like your husband. Maybe he looks partly like your husband and partly like some beautiful, genius egg donor. Maybe he is coffee brown and Peruvian; you are white and English. Maybe he is a she.

But whatever your idea of your child, once you have it, once you have thought of him as yours (which may happen ten years before he’s born, or four months into your pregnancy, or six weeks after you meet him), nothing can stop you from wanting him. And only some terrible force outside of your control will prevent you from having him.

You will run through icy winds for him. You will leave your husband for him. You will quit your job for him, take two jobs for him. You will lie slant, almost upside down, for forty-eight hours so he can be born two fewer days premature. You will let your bones crack apart for him. If the adoption agency says you are too old to adopt him, you will find another agency. If the first in vitro- insemination fails to produce him, you will shoot hormones into your butt for another month. And if you miscarry, your child has died. If the birth mother changes her mind, your child has been torn from you. So stay strong in your quest, preserve and wherever your journey takes you, go confidently, head held high.

I like my new title...mother!

The Happiest Day of Our Lives!

He's Here! Our Dream Come True!

Jack Christopher

Date: 12/03/07

Time: 7:28 pm

Weight: 7 pounds 10 ounces

Length: 21 inches

We will post more info/pictures when we are home from the hospital.

Goal Reached--37 weeks Today

This countdown will end soon, but not before the celebration of 37 Weeks Today!! I'm imagining (& you can too) me running like Rocky Balboa, through the streets of Philadelphia, shaking my fists in the air, my crowd of well-wishers running with me....go ahead, hum the theme to Rocky in your head.... I have a big smile on my face and so does Mr. Tarheel & Tucker....

At yesterday's appointment, my BP was 158/98--the highest ever but came down with rest to 140/90. My NST/labs were *normal*. I'm BIG, measuring 42cm (that's the uterus, measured from bottom to top) and at 37 weeks, it's supposed to be 37cm---so I'm 5 cm bigger than expected. Dr. Tracy started talking about delivery sooner rather than later but the plan now is to go back on Monday for another NST & labs. She listened to my fears & acknowledged with my job, I can go places others don't go. She explained wet lungs, maturity, & size to Mr. Tarheel, who quickly gave his views on factors affecting calf birth weight...(smile).

So the waiting continues, & we are going to bank up on sleep this weekend so we'll be ready for Mr. Jack if he comes next week.

Flowers & Dark Rum

Another surprise-less & uneventful appointment yesterday...my platelet count went UP to 148K and all other labs/BP are holding steady. I see Dr. Tracy on Friday at 36 6/7 weeks...only 1 day before my goal date...YIPPEE!

Thanks for all the well wishes/emails/calls/prayers....I wish I could say something funny or catchy to make you chuckle. The fact is....look up the word misery in Mr. Webster and you will see my picture! But, as I have said many times before, this is temporary and soon I will be looking into Jack's eyes!

I did tell Mr. Tarheel that there will be no excuses because on every Mother's Day for the rest of my life, I am to be thanked with flowers! He agreed and then said that he would like to be thanked with a good bottle of dark rum! We laughed together, each imagining and almost understanding, for a moment, what the other person is going through.

Are We There Yet? 36 Weeks!

Good morning all you gestational trackers...I hear your shouts (that's holler, in the south) of joy from the east coast to the west coast because here we are.....Jack has made it to 36 WEEKS! Only 1 more week and he will officially not be a premature baby. So the answer to your question...the same question you asked your parents on the way to Grandma's house..."Are we there yet?"....the answer is no, but almost! I see the end and Mr. Tarheel & I are getting more & more excited....

I Think I Can, I Think I Can, I Know I Can

Well, the seemingly longest pregnancy in recent history is still progressing...much to my happiness & amazement! Here's a summary of yesterday's appointment:

1. I have a new diagnosis: macrosomia or large for gestational age (LGA). Jack's estimated weight for 35 3/7 weeks is 7 lb 11oz. Wow! The accuracy is within 10-15%, so maybe it's a little lower:) Everything else on the ultrasound is "normal" and they checked again...he's still a boy! So high BP hasn't affected his growth...yippee. Don't worry, I'm not going to start smoking now to lower his birth weight a little!
2. Yes, I'm the puffiest patient around with weight gain to prove it. I'm scratching my head wondering how much can my body take....maintaining homeostasis must come at some price but my skin isn't splitting yet.
3. Platelets are dropping...now at 132K...down from 157k since Friday, but only down from 146K from a week ago. Next appointment/labs are Monday, 11/26 at 36 2/7 weeks. BP doing "OK" with some readings 160's/mid-90's but with rest, comes down to 150's/80's. Dr. Tracy said no more increase on BP med b/c at this point, it won't extend the pregnancy & we'll consider delivery at a platelet count of 100K. So yes, I'll have my suitcase with me on Monday for the appointment...
4. Sleep quality is deteriorating....Mr. Tarheel is now sleeping in the guest room and even Tucker has joined him. But he still wakes up to listen for my snoring and if he doesn't hear it, he comes in to check on me.

Thanks for all the calls, cards, and emails of support...it's very nice and encouraging. I know I can do it but it's so much easier with all the wonderful support!

Stable (Mentally & Physiologically) & 35 Weeks!

Yesterday's appointment with Dr. Tracy went off without a hitch...I have stable labs & we're hanging out at home until the next appointment on Tuesday. Yeee-Heee--35 weeks today! Here's me getting ready for the appointment as described by different aspects of my personality...

"Why are you packing your hospital bag, complete with the cameras?" asked Mr. Tarheel.

"You know to be ready, just in case, he's born today....you know the labs could change enough and get more out of the normal range (abnormal), so Jack has be born...SO PACK YOUR BAG TOO", comments OCD Tarheel as she is packing Jack's bag also....

"Yes, Jack could be making his debut through the uterine sun-roof anytime now...look how far we've come and how wonderful it will be to see him..." says Comedy Tarheel, with a big, happy smile on her face.

"I've pre-programmed all the upcoming UNC basketball games to be recorded, but hopefully, the only one we'll miss is the one against SC State that won't be on TV here." says #1 Fan Tarheel.

"Let's go...everything's going to be fine," says Mr. Tarheel, as I get it together...thanking God for a husband that does more listening than talking.

Tucker Says Hi to In-Utero Jack

Watchful Waiting

Today was a scheduled appointment with Dr. Tracy. I hadn't seen her in 2 weeks and she smiled and said, "We've made it, you're 34 weeks!" Boy, do I know what she's talking about, comparing the worst case scenerio to now. During the NST, I had a strong contraction but luckily, didn't feel a thing. The nurses were surprised. I laughed by myself when I said that I hope I never feel a contraction. There was much hoopla about my fluid retention/swelling/extreme weight gain. I'm passed justifying that I had only eaten ice cream once in the last 2 weeks! My feet were the main attraction...they were noted to be about the puffiest feet that they had seen in a long time. For some reason, this notoriety did not make me feel better.


Dr. Tracy said that everyone who has to come in wearing their slippers, must have a stat PIH panel done. She wanted me (with increased concern) to wait for the results, so I slowly walked over and rested in the NNP call room. It was nice to see some co-workers that I have missed over these last 3 months...I reassured them that I wouldn't deliver today b/c I had my camcorder and my camera with me (thanks, April, for the wonderful advice!). Being prepared wards off evil spirits in neonatal land....


The labs weren't all completely normal anymore (yes, that means some were abnormal or not in the normal range....). The platelets are falling and the uric acid is rising but the creatinine and liver enzymes are still normal. So Dr. Tracy said things like..."I'm concerned there's a change and we need to watch you more closely...". So I go back in on Friday afternoon to repeat the labs and NST. Mr. Tarheel will be able to go with me for this visit. I think I will pack my bag and have it in the car (you know, those pesky evil spirits)....hopefully, I can keep on trucking for a couple more weeks....I have my eyes set on Dec 1st--37 weeks!


I did have a moment of panic...I may only have a short time left to be pregnant. As bad as I feel sometimes....I have come to enjoy my long-awaited pregnancy...well, at least the good parts of it. Mostly, I have loved knowing that I am nurturing Jack and I love feeling his movements. I know many pregnancies progress much more easily than mine has, but this has been mine, all mine to experience and savor.

Important news just in: Jack will listen (through skin, muscle, & yes, some body fat) to his first UNC basketball game vs. Davidson today at 4pm PST...the loudest part will be his mother (aka #1 fan) shouting her commentary & cheers! This is just the beginning of a fierce sports bond between mother and son!

Hooray--34 Weeks Today!

Here's a picture of my feet...I don't think you can fully appreciate it but these are now my puffy painful feet. I had Mr. Tarheel rub them with lotion and while it felt good during the massage, afterwards, it was a painful, burning sensation for hours. I did buy some shoes that fit.........size 9 1/2 and I wore a size 7 1/2 before. Anyone that size need some almost new Merrill's when this is over? Mostly, I wear either nothing or some soft house shoes for comfort....I'm past worrying about fashion.

My cheering team is giving me new motivation to get ready for Jack. It takes forever to do anything when you can only do something for 5 minutes if it involves movement. Sometimes, I even get short of breath talking on the phone, while I'm sitting. I have to monitor myself for how much laughing that I'm doing. I can only laugh about 15% of the time! The crib & bassinet are up and the clothes are about half organized. Wow, a baby needs a lot of supplies! Today, we are going to work on Jack's closet. What that means, is I sit in a chair and tell Mr. Tarheel in excruciating detail where and how to do everything and he does it as long as he can possibly tolerate it. Then he distracts me by offering to cook our dinner. Cooking is his respite because we both know that he can cook far better than I can, so I'm not going to offer any directions, only thanks.

Only 3 weeks to term...for those marathoners out there, is this like the 24th mile of a marathon?

Men's Basketball Pre-season Poll: UNC #1 & Mr. Tarheel at Midnight

http://sports.espn.go.com/ncb/rankings?poll=1

Not Tarheel Born, but Tarheel Bred

Today, the most wonderful of surprises arrived from the bestest Tarheel friend a Tarheel could ever have. Wrapped in Tarheel paper, was the most thoughtful package of Tarheel love that Mr. Jack, future Tarheel, has received. Some of the contents included the softest, Carolina blue, hand-knitted baby blanket, handmade Tarheel 07 Jack burp clothes, a Tarheel hat, pacifier, & Tarheel pacifier lanyard, a Jack bib, and Jack's first soft infant Tarheel basketball! Tears of joy and sweet memories flooded my heart....Here's a picture of us about 20 years ago!

Some people are destined to be life-long friends, even if they meet because one is the most gregariously loud person who can talk to anyone, even if she doesn't know them (that would be me)! Back in college, when I was waiting in line to be a hospital volunteer & wearing an unforgettable sun-dress, I met my bestest friend Kristi. We would conquer nursing school together in most of the same classes and clinical groups. We had so many fun times together and she kept me out of some trouble, here & there. Despite time and distance, we can pick up where we left off and know we will always have the other's understanding. Wow, she's great!

She knows that Jack won't be Tarheel born, since his mother is the #1 Tarheel fan, he will definitely be Tarheel Bred!

Shower of Love

My baby shower turned out so wonderful and beautiful. My friends Alayne, Debbie, and Karen were the hostesses and had every detail planned out...and waited on me hand & foot....It was extra activity but I took extra labetalol and the highest BP was 160/90. I held it together because I was so busy talking (who, me?) and eating and opening presents and before I had much time to reflect, Mr. Tarheel came to pick me up & it was over. I received SO many beautiful presents, it's hard to believe. So many current & old friends came...thank you! It meant SO much...to have each and every person there and I am so grateful!

Today, it feels a little emotional to think about....how I got to this point & all those that helped me along my way. I, (ME), was the guest of honor, at a baby shower for ME! If I had known the journey, would I have had the perseverance to complete it? Maybe knowing would have made it easier, because it took SO long. Last year about this time, I made my first appointment to begin the process for the cycle. I remember that Mr. Tarheel & I had a conversation (one of thousands) about one of OUR 2 possible outcomes (have a baby or live child-free). I remember thinking & believing in US, whatever the outcome. I saw myself & us living happily with either outcome...it had taken so many years, but I had finally released the burden. Now, I don't think this caused the cycle to work....it's a gamble, a percentage thing. Donor egg IVF will work about 70% of the time presently. It's a roll of the dice....after so many losing rolls, our number came up & here we are. But it's good to know that I would have been OK either way. Don't get me wrong...I'm super excited to go down the path of motherhood, but I know that Mr. Tarheel & I could have been super excited too about the rest of their lives, living child-free.

Now back to the wonderful shower of love....each person there, at some point and/or for years & years had helped me "fight my battle in the trenches". Every person had taken the time (some hours/hours & some days/days), to help me process my journey of trying/loss/infertility. Boy, it lightened my load! I couldn't have done it alone...so to each of you....I thank you not only for the beautiful baby gifts, but even more for all the support over the years...listening, offering insight, redirecting me from my tangent thoughts, distracting me, and now being happy for me...You are the best!

Thank you, thank you, thank you!

Cautious Optimism

Today was another regular OB visit...another one with Dr. Megan, since Dr. Tracy is on vacation. We started with nurse Stacey and the non-stress test..monitoring the heart rate, looking for reactivity. Jack was passing with flying colors (especially after my apple juice) until nurse Stacey thought his heart rate dropped to the 80's. I thought it was my heart rate but Dr. Megan wanted to make sure, so we kept monitoring for a full hour and it never happened again. Nothing to worry about, they say. Now I can go back to my regular worries of global warming and who will win this weekend's NFL match-ups...

Dr. Megan is a good mix of humor and expertise....she checked out the amount of amniotic fluid and it's a little lower but still normal (in the normal range, but decreasing:). She said...you might make it to term (hopeful optimism).... & I started to laugh. Mr. Tarheel asked me, why are you laughing? I thought, I never in my wildest dreams actually believed that I would make it to term. I mentally prepared for the worst case scenario and it looks like it's not going to happen. I'm starting to feel more & more lucky (cautious optimism). Tomorrow is 33 weeks and this is the week on the outcome statistics that I have been waiting for....100% survival without severe sequela.

It's hard for me to believe that he's almost here. I have so much more to do...I don't have much stamina/energy to do much each day. We have to get the nursery ready...I don't have any diapers! I don't even know what kind to buy....I still have my goal of Dec 1---37 weeks....only 28 days to go.

Sleeping (aka Sawing Logs)

Here's a picture of my pillow wedge that Mr. Tarheel designed to help me with my breathing (aka snoring) at night. He refuses to go sleep in the guest room (aka foolish dedication) and has been known to press on my chin (aka jaw thrust) to see if he can open my airway more. Tucker (aka future big brother) hasn't complained yet!

Big News! UNC #1 and 32 weeks!

Big news...UNC ranked pre-season #1 in Coaches poll and I'm 32 weeks today! This Tarheel gal couldn't be happier....well, let me think about that. I'll be happier, first, when I see my healthy baby Jack and I'll be happier, second, when on March 16, UNC is wins the National Championship! This next year is going to be the happiest year of my life!

Here's some news:
GREENSBORO, N.C. -- The University of North Carolina was the unanimous pick as the favorite to win the Atlantic Coast Conference championship in men's basketball in 2007-08 and Tyler Hansbrough was voted the preseason ACC player of the year.

Men's Hoops No. 1 in Coaches' Poll
The University of North Carolina is ranked No. 1 in the nation in the 2007-08 preseason men's basketball coaches' poll, which was released by USA Today and ESPN Friday morning.

The Votes are In

Thanks to everyone who voted...helping me to guess what gestation Jack will be when he is born. Here are the results:

31-33 weeks: 18%
34-36 weeks: 43%
37-39 weeks: 37%

The funny thing is....about 18% of the time, I think he will come soon (31-33 weeks)...especially after my 32 week dream. Dr. Tracy has said several times that her prediction is the "middle 30's", which would be 34-36 weeks. But I'm banking on December 1st--the day that I turn 37 weeks---so in 36 days! I'm visualizing 37 weeks and a 7lb healthy baby, without any feeding problems:)

Puffy Is as Puffy Does

I know it's wordless Wednesday, but I need words today. On Monday, I was feeling more (& very) puffy...when I weighed myself yesterday morning, I had gained 7 lbs since my appointment on Friday. Now, in my pre-pregnant life, the number would have taken my breath away, but I'm passed that...my mind started racing towards the question, "Is this the beginning of pre-eclampsia?" So, of course, I didn't call Dr. Tracy until my sister, RaRa from SC told me to!

Yes, they were concerned enough to have me come in for a visit. Especially after I mentioned that I was short of breath with very slow walking. Dr. Tracy wasn't there, so I saw Dr. Megan. I liked her plan...check stat PIH (pre-eclampsia) labs, do a non-stress test, and give steroids if either isn't normal. This was my first non-stress test. There are 2 probes attached to your stomach...one to check for uterine contractions and one for the baby's heart rate. To "pass" the test, Jack had to have an acceleration in his heart rate, at least 15 beats above the baseline, lasting for at least 15 seconds. He was moving constantly (after I drank apple juice) and the nurse kept having to chase him with the probe. He cooperated better when I was on my left side. He passed and I had no contractions!

The labs turned out to be normal...yes, still in the normal range, not approaching the edge of the range, and not getting worse. My BP went from 160/90 (after walking in) to 110/60 (after lying down for 30 minutes). Dr. Megan's Plan: stay pregnant and rest more!

But, I say, I'm SO PUFFY! She says, yes, yes, it will probably get worse. I ask, when will I pop? She empathetically laughs. I appreciate the humor, but I don't laugh because I'm serious. One gallon of water weighs about 8 lbs...so my body is retaining lots of water. Hopefully, my heart and kidneys can keep pushing for another 5 weeks...Luckily, I bought a pair of 9 1/2 house shoes to wear b/c all my other shoes are 7 1/2!

Revisiting An Old Dream

Early in my pregnancy, when everything was "normal", including my BP...I had a dream that Jack would be born at 32 weeks. The next day, I went to work and we had five 32 week admissions...2 sets of twins and a singleton. That was weird but hopefully not prophetic. In my dream, I remember that Jack needed CPAP and one of my co-workers was giving me the RDS (respiratory distress syndrome) speech...like I've done so many times before. Mr. Tarheel was there, standing, and I was sitting in a wheelchair. I told him to sit down b/c he was pale. I turned and told my co-worker that I'd like them to intubate Jack and give him the survanta anyway. Then I woke up. In my dream, I wasn't emotional just my usual opinionated self. I see these "older" premies that need CPAP and believe they breath and eat better, faster, with a dose of survanta. Hopefully, this meant nothing....

But, I am concerned b/c I'm getting weaker, more swollen, more short of breath, and my world continues to shrink as I go from the bed to the couch and back again. Good news...my BP is still under 160/100--the magic numbers for possibly going into the hospital for more aggressive treatment. We're holding on...

Getting Closer--31 weeks!

Yesterday was another appointment to have an ultrasound and see Dr. Tracy....during the US, Jack was wiggling all over the place and putting his arms/hands near his head/mouth. The tech captured a great profile picture this time and each time I look at it, I think...Wow, there he is! Now, I still don't believe those mothers who say they didn't know they were pregnant and go to the ER with "abdominal pain" and then give birth to an 8 lb baby. How would you not know something very different is happening to your body with the normal changes of pregnancy? I've used denial, but even denial has it's limitations.

Jack's estimated weight is 4 lbs-6oz (60%), so my BP problems have not affected his growth. Everything is being reported as "normal"...and this time, he was big enough to see his gall bladder and aortic arch. You know me....wanting to check out everything possible! Dr. Tracy was pleased with the report but as I expected, thought my BP is getting too high again. So she increased my labetalol (BP medication). We are trying to achieve a balance because when I'm resting, my BP is normal and more medication could cause the resting BP to go too low. She brought up induction of labor when there's no where else to go with this and my/Jack's health begins to be affected. That's when I began my long request of a primary C-section...it was funny, b/c she cut me off after about 2 sentences, with the response, "OK". She said that I was right, there are less neonatal risks when the dating is correct (like in our case with IVF) and I would have at least a 50% chance to need one anyway with all my risk factors. Of all the things that I have had absolutely no control over during this experience, it felt weird but great to have a sliver of control! This is a load off my mind until I start thinking of the pain of surgery, but he has to come out one way or the other and my first choice is c-section.

So I go in now for weekly non-stress tests and appointments and there's a new push to get ready for him...I've ordered the crib and dresser/changing table and it will arrive next week.

My Sleeping Boys

Now, it's 30 weeks!

Yippee, instead of my lips starting to say TW (for twenty), now they can form TH (for thirty) and this is the phonetic sound that I will be making when I describe when Jack is born.....Yes, it's 30 weeks & 97% survival without severe sequela. That number is so high, we don't have to think anymore about survival with sequela because that's not going to happen!

Sometimes, time passes so slow...like the school clock in Risky Business (email me if you know what I'm talking about), that I sometimes think the clock is tricking me by ticking backwards. Then other times, I look at the pregnancy ticker and think, oh no, I have too much to do to get ready for this boy. There are too many books to read, too many movies to watch, more photo albums to do, birth announcements, Christmas cards, the nursery to set up....on & on. But then this old(er) pregnant body does the talking....telling me to rest after only about 5 minutes of anything unless I'm sitting/reclining. When this is over, my drive to move is going to take over and I'm going to be able to get things done.

But then again, I imagine that I'll be sitting for hours, staring into his face, feeling so thankful for this blessing named Jack.

Teenager Vs. Advanced Maternal Aged Red Angus

Starting today, I'm going to try a new thing...wordless Wednesday. I know, I know, this isn't wordless...but I felt compelled to at least tell you why I'll just be posting a picture and you'll only have the title as text--starting next week. This should be fun & help my creativity:)

Some of you know that I'm a Red Angus owner & certified cow watcher (yes, I'm in charge of nutrition & reproduction...Mr. Tarheel does all the dirty work!). The younger cow in the top is Scout, born in March 6th, weighing 88 lbs and on 9/1, she weighed 639 lbs. So she's officially a teenager and can be bred next summer/fall. The bigger Red Angus above is #38. I know, I should have thought of a name for her....but didn't/haven't. So her tag number is 38. She's 10 years old...already delivered about 7 or 8 calves and is officially advanced maternal age! She has an intermittently limp with arthritis and we are treating her gently to help her gain some weight (see the ribs). She is about 100 days pregnant (270 days is the gestation). She is SO laid back...you can walk behind her & she won't kick! Take Mr. Tarheel's advice and never stand behind a cow! I'll take her example & try to develop a laid back attitude since I'm in the advanced maternal age category also!

Baby Shower on 11/3: For Me?

You're invited to a Baby Shower on

Saturday, November 3, 2007

from 12-3pm (drop-in)

at Debbie Lester's home

7417 NE 198th PL

Kenmore, WA 98028

Please bring an appetizer to share.

Jack Christopher is registered at BabiesRUs (search under Teresa Myers)

RSVP (425) 486-8869 or

email: deb@isis.bm

In my previous infertile life, baby showers were a testament to extreme endurance and suppression of pain....it's right there in your face...what you hope for, save for, wait for....to have your own baby is happening for someone else & it's usually much, much easier than it will ever be for you. Now, don't get me wrong...infertiles are happy for those they care about having babies (even when it was easy for them), but it's just when you are left behind, the pain is ever so sharp. You must garner the energy to believe that it will be you one day...you will be the guest of honor at your own baby shower! There's a date on the calendar & Jack is constantly moving...it's finally happening for me!

Woo-Hoo at 29 Weeks!

This morning, early, before the clouds came up, I woke up Tucker (he's not a morning dog) and shouted---29 WEEKS today! He looks at me, wondering, what is all the excitement about? I ask forgiveness for the early arousal by giving him a new toy---a toy gorilla that makes gorilla sounds when it's squeezed. He's a fast learner....I only demonstrate it once and he's off to his spot and the house sounds like a jungle for the next 10 minutes. Enough time for me to make my coffee (decaf, of course) and sit down for my first rest break of the day.

Yes, the outcome data for 29 weeks is up to 97% survival and 93% without severe sequela....every day still counts because it means less time in the hospital and faster discharge. But of course, my goal is for him to come home with me--full-term! I'm starting to wonder how it will be to see him and take care of him! It's like waiting for Christmas to come when you're a kid...the anticipation is growing!

Doctor's order: More Rest

Yesterday was another appointment with Dr. Tracy. We're really getting to know each other well....after Jack is born, who will listen to all my aches & pains and help me solve all my problems?

None of my BPs are "dangerous" but they are trending up with even less activity...so more rest is in order. She entertained the idea of increasing the medicine again but with rest, my BP is normal and can't go any lower. She did the PIH labs again, so I'll find out those results today. My measurement went up 1 cm and is supposed to go up 2 in 2 weeks---so before the next appointment, I'll have another growth ultrasound. Maybe I heard her differently when she said things like..."He's not going to be a VLBW baby....hopefully, we'll get to the middle 30's gestation, and get ready for him..." Am I imagining things or is she preparing me for a preterm birth?

Dr. Tracy said the obvious...you can't go back to work while you're pregnant...duh! I needed to be told because there was a sliver of hope left in me. It had dwindled significantly when I stopped by work on my way over to my appointment (the buildings are connected with a skybridge). First of all, just getting ready for work and getting there would skyrocket my BP and the activity required there wouldn't definitely be too much....so I must adjust! It will be there, with it's joys & stresses, after Jack...

Excuse me, I must go rest....

First Goal Achieved--28 weeks today!

Today is a good day...my first goal reached--28 weeks! Hip, hip, hooray! 95% survival!!!! Back in the middle of August when my BP first went up, I kept looking at today's date on the calendar, hoping & praying that Jack would not be born in September. Here it is the end of September and everything is stable...no signs of preeclampsia and acceptable BPs on higher labetalol and lots of sitting around.

My nephew Lance once said, as he was buckled in his car seat, "I'm stuck!". I don't have a choice but to be a cooperative, compliant patient but the energy required to stay sane is increasing. If my thoughts turn south, I know to call someone who is a positive force and even discussing a new recipe or a recent cold will divert my attention. Mr. Tarheel, who isn't a talker, calls several times a day from work and helps distract me & keeps up with my BP. My attention span is decreasing and I've stopped looking at the clock so much. It doesn't matter what time it is to me anymore, except to take my medication. I use the sun for that...sun comes up..take my pills, sun goes down, take my pills...

I'm sure this is just the beginning of putting Jack's needs before mine. He has lots more growing to do, so I wait as patiently as possible. I thought of starting a new countdown--to 37 weeks instead of 40...that takes 21 days off the ticker and seems much less emotionally...so here's to 63 days to go!

The Listening Skills of Tucker

Tucker, the big red dog, is a great listener. As I am constantly talking, he looks at me with his wrinkled brow and his eyes seem to understand what I'm saying. He can interpret Southern!

Let's go back to the beginning...when my precious, first-loved dog Scout died, I sub-consciously had no intentions of letting another dog get inside the deepest part of my heart ever again. Scout was my four-legged son and that's all there was to it. Even though almost 3 years have passed, it's a wound that is still there, rarely sharp, but a consistent dull ache. When Tucker walked into my life, I resisted a deep bond with him. Mr. Tarheel must have quietly sensed this, because he took care of Tucker most of the time.

Over the past year, my guard has slowly been let down as Tucker has not given up on helping me to unconditionally love him. He seeks me out for a pet and follows me around the house constantly. He will even interrupt his sprint for the neighbor's cat, if I tell him no. He makes me laugh with his whimsical faces. Yes, if he wants to go outside when I'm sleeping, I don't resist anymore or get irritated. I know he wouldn't make me go to the bathroom in the rain if our roles were reversed.

He has been truly excited about spending all this time with me. He will position himself beside the desk, so when I'm on the computer, I can rub him with my feet. He never complains about my naps and takes those opportunities to stretch out & rest his head on Mr. Tarheel's pillow. I've been telling him that our lives will be changing soon and he will be a big brother...& he appears to be listening!

27 weeks today--only 10 more to term!

Yesterday, we went for our ultrasound and appt with Dr. Tracy. Mr. Tarheel noted that I wasn't the least bit nervous this time (a first). I guessed Jack would weigh about 1100 grams--but his estimated weight is 1335 grams/2lb-15oz (81st%) and head circumference is 25.8cm(55%)! Mr. Tarheel (with a smirk on his face) said that we could have a 10 pound baby...but on the growth charts, this percentile at 40 weeks equals an 8lb baby (OK, bigger than my dream of 7lbs, but still OK)! In every category, we were put in the "normal" range with a comment of "borderline greater than expected growth since 8/24". I guess Jack did obey his mother and grow as fast as he could!

I shifted into "OCD pregnancy mode" as we walked over to the OB appt. After chit chatting with Mr. Tarheel, Tracy set me at ease by checking out all my concerns. First, she agreed that with mild activity, my BP was getting too high. I wanted to increase my daytime Labetalol dose and keep the same night time dose--so she agreed and let me feel in control! I was feeling cervical pressure over the last few days, so she checked that out and it was normal. She told me to start relaxing because Jack was going to survive but he was still a "big, wimpy, white boy"....this she had to interpret for Mr. Tarheel...he had never heard of big white baby boys not wanting to breath or eat like others their size/age. We all laughed & I was calm when I left the office. Now, that's a good visit--when you can leave calm!

Today is 27 weeks! Today's outcome data is 94% survival, with 85% without severe sequela! This week the survival % goes up 0.4% daily and the "without severe sequela" % goes up 1.5% daily....As these numbers improve, I do start to hope for more...to go home with us, no feeding problems...I'm feeling greedy!

Preseason Blue Ribbon Poll: UNC #1

The preseason predictions of success begin with the blue ribbon poll & the Tarheels are #1! We await the big boys (the ones that really count)...the AP & ESPN poll.

http://tarheelblue.cstv.com/sports/m-baskbl/spec-rel/091807aac.html

Excitement is building and the first game that Tarheel88 will be able to watch on TV is November 14th at Davidson on ESPN. Only 53 days away! Now we have 2 countdowns going on!

Random Thoughts of Boredom

Yes, I believe I can officially call myself bored. There are levels to everything and the degree of boredom that I'm feeling has reached a deeper level. I think I will look back at this time and wish for a lazy afternoon with no agenda and no fatigue. Too much of any one thing isn't balanced...even resting. So here are some random activities/thoughts of the day:

1. Today I read letters between Mr. Tarheel & I written back in 1994, while he was in Haiti serving Uncle Sam. Wow, just married and young in love...it was refreshing. Time passed: 1 1/2 hours.
   
2. Today, I organized all the needlepoint pillow cases that my precious, recently passed away Aunt Kat made for me--keepsake treasures! Time passed: 30 minutes.
3. I wrote a letter to an old friend's mother, who will never be in computer land and always gives me handmade birthday gifts. I was on a roll and wrote another letter to an aunt to send with a pillow, which was made by her mother over 19 years ago. Her mother has passed away and I thought she would love to have this pillow, instead of me keeping it stored in a closet. Letter writing is a long lost art! Time passed: 1 hour.
4. I watched the channel Equator and saw 9 mountain lions hunt/kill a wildabeest...dramatic but real life footage. My obsession with the weather reached an all-time height today when I noticed that during the morning forecast, today's high was decreased 3 times! Time passed: 1 hour.
5. Mr. Tarheel sensed my anxiety about the new dishwasher not being completely installed even though I have lots of time to wash dishes. He obliged me and finished it and it is 100% level! I read the new manual to him aloud and he laughed as I read the section on "How to load for maximum efficiency". Time passed: 1 hour.
6. Daytime Mariners vs. A's--(we swept them!) & crotcheting. Time passed: 2 hours.
7. Reading & nap. Time passed: 1 1/2 hours.
8. Joined a Surviver pool...read all the new Survivor contestant bios. Time passed 15 minutes.

So this is only a total of about 9 hours....Oh yes, I did my kick count, dutifully cooked my oatmeal, took my BP, did some laundry, talked on the phone to my regulars--April & Alayne, and sat in the sun while watering the cows...I guess from this list, I'm staying very busy!

All Smiles at 26 weeks!

As interesting of a person that I am :), sometimes it's difficult to write something here worth reading. Sometimes, it reads blah, blah, blah, blah, blah....but I know that you're all VERY happy that I'm 26 WEEKS TODAY! Now, 26 weeks if one of those in-between weeks but we have to trudge through it to reach our ultimate goal of a full-term baby on December 1st! Some of you may have guessed, that Mr. Tarheel & I are memorizing PMG outcome data based on weeks gestation and birth weight. Don't give me grief, Mr. Tarheel is making an A+ in the class that I am teaching him on Introduction to High Risk Pregnancy! I don't even have to look it up, I know that survival today is 91% and without severe sequelae is 77%....& every day, it goes up! This sounds like I think he's going to be born soon, which really, I don't. If I feel stressed inside, I keep repeating, "Grow Jack, grow" & it helps me calm down! Now, don't get me wrong, I don't want Jack to come out weighing 10 lbs, but a respectable 7 lbs will be fine with me!

I had my first delivery dream last night. It wasn't a nightmare b/c Jack was born full-term. In the dream, I was at home & labor started but I had to wait for Mr. Tarheel to come home to take me to Swedish. It wasn't very long in the dream, but before he arrived, my contractions were so close, I called 911. The ambulance arrived shortly after Chris did and they told me that there's not enough time to get me to Swedish. They took me to Enumclaw hospital, which is 5 minutes away and I had Jack in the ER. I remember that I was so proud to tell everyone that I had natural childbirth! The funny thing is, I have zero intentions to have natural childbirth, but you hear of these situations, when the person doesn't have a choice. When I woke up, I couldn't remember what Jack's face looked like. Maybe, I'll finish the dream tonight!

Waiting for the Other Side

The sun rises, the sun sets, and another day of this pregnancy passes....yes, my mind is going places today. Places in the past, like back in 1996 when we first "tried" to have a baby...now that's 132 months of waiting, 3872 days passing, now hopefully only about a 100 left to go. The dream of having a baby was with me for all those days. Sometimes dreams become realities with determination, patience, persistence, and the intestinal fortitude to keep searching for an achievable way to reach your dream. My dream is happening...each day brings us closer to meeting Jack...oh, what a day it will be!

It's helps for me to see what people are like "on the other side" of infertility/loss. I see smiles and a deep appreciation of the blessings of children. The same qualities that helped them through the dark days trying to have a baby, helps them in their new life as parents. Here's a video called Seasons made by some wonderful parents for the International Infertility Film Festival: http://www.youtube.com/watch?v=_rwQ4FuyBCo
Luckily, the seasons of our life have brought Mr. Tarheel & I closer...we'll be on the other side soon.

Another Circle Around the Sun

Wow, another circle around the sun has been completed for Tarheel 88. Yes, 9/7/07 was my 41st birthday--a little anti-climatic after last year! Have you ever noticed that when someone is in their 30's, they are still likely to tell you their upcoming age when they talk about their birthday? It becomes less likely as you progress in your 40's, I think.

Mr. Tarheel made sure I had my favorite cake--carrot cake from Black Diamond Bakery...here I am, blowing out my 1 instead of 41 candles! I didn't want to create a fire hazard...Notice the beautiful flowers in the background...sent to me from the best NNPs in the world--Kim, Deb, Heather, Alison, Sandy, Cheryl, Susanne, and Traci.

It was a celebration also to learn that my PIH panel and gestational diabetes tests were normal. Now, the call from Devin, Dr. Tracy's assistant, goes like this...

Ring, Ring..

Tarheel88: hello

Devin: Hi, your labs are normal...Dr. Tracy says keep up the good work and see you on the 21st.

Tarheel88: Now, what was my glucose?

Devin: 100--we like it to be under 140.

Tarheel88: Wow, pancreas of steel! Now what was my creatinine? GFR? Uric Acid? Hct?

Devin: 0.6, >60, 4.6, 36%...all normal. Would you like me to fax you the results?

Tarheel88: No, that's OK, you said they were all completely normal? Did any of them change from last time? I mean, you know how they can still be normal but getting worse....but still officially in the normal range?

Devin: YES, all were COMPLETELY NORMAL--in the NORMAL RANGE (emphasis added)!

I must get her some chocolate before this is over!

If I Can't be Normal, I'll Settle for Stable

Yesterday was an appt with Dr. Tracy...I had my 3 pages of BP readings and she was happy with the numbers. Today, I'll find out the results of the sugar test for gestational diabetes and the PIH panel...the labs to see if I'm developing pre-eclampsia. Dr. Tracy was all smiles and said that she doesn't think I'll be getting pre-eclampsia in the next few weeks. YIPPEE, things are stable....if I can't be "normal", I'll settle for stable.

Dr. Tracy said that I could slowly increase my activity and monitor my BP...& to call in if it reaches 160/100 (scary numbers for me) and she will increase the labetalol. This is a N=1 non-randomized study to see if I "may" be able to get back to work during the pregnancy. I love all the advice that I'm getting (really) and no one wants to hear about me coming back to work anytime soon. After 10 years of waiting and hoping and over 40K of hard-earned money spent, don't worry, I won't come back unless my BP is normal & it's 100% safe!

Next appointment will be in 2 weeks, 9/21 and we'll have another growth ultrasound then. Mr. Jack is measuring big right now and for some reason, has kept me up over an hour during the night for the past 2 nights. I tell him that it's night time but even as a fetus, he has a mind of his own. I can't complain, it's what I've waited for and I can sleep late if I want to!

Ways to Pass Time

I'll bet some of you are wondering what am I doing with all this free time. I do wish that I had one of these lazy days in the middle of my former hectic life instead of under these circumstances....but here is a list of some of the highlights of my days:

1. I'm cooking Quaker oats almost every morning for breakfast and eating it with fresh sliced peaches. The cooking is one new thing..before, when I ate instant oatmeal, I was always busy doing something while I ate. Now, I'm enjoying the taste of real oats and I've learned how to recognize a ripe peach by the feel/smell of it.
2. Since we're talking about cooking...using Mr. Tarheel's mother's cookbook, I made homemade baked macaroni and cheese. Suffice it to say, my cooking needs more work and the dish needs salt in it. I get an A for effort.
3. I'm reading 2 books at once...now you may ask, Why? They are Charles Dickens' Bleak House and Anthony Bourdain's Kitchen Confidential. Both excellent but very different books and going back & forth during the day helps keep me reading, thus, passing more time.
4. Crocheting Jack's Baby Blanket...now any of you who have seen my crocheting will be impressed that I actually have straight rows that are the same length...I've come a long way. Mr. Tarheel picked out the yarn & it's a nice dark red.
5. Cow watching: Big Red, the bull came over for his yearly visit. Previously, I felt like the bull was in control, but now that I can recognize the nuances of bovine mating behavior, I know that the lady cows are 100% in control! Winston, our steer, developed a limp and wheezing...when the vet came over, he diagnosed hoof rot and pneumonia. Winston had to be sedated for his treatment and as a sitting by-stander, I'm glad that I work in a more controlled, clean environment!
6. Sleeping: Both high BP and labetalol make me sleepy, so at least one nap is necessary every day. I needed a morning and an afternoon nap until I slowly trained myself not to wake up at 0500 anymore. I've never been a late sleeper, but I've actually slept until 0800 a few times!
7. Watching TV & movies: Now, I'm interested in the weather, watching the weather, talking about the weather, and realizing that the forecast is their educated guess and I need to get a life if I'm telling people how the forecast was wrong for over half of last week. Watching the Mariners is difficult when they're losing...but I still turn it back during the commercials of whatever I move on to watch. I have UNC basketball games recorded from last season and I watch my Heels sometimes...only a little over 2 months until the new season starts! A new favorite show is Ninja Warrior...a Japanese obstacle course show with sub-titles.
8. Talking & emailing to lots of family & friends who are helping me pass this time...growing Jack!

One Hurdle Jumped: 24 weeks today

Today is 24 weeks...I don't exhale, relax, or think...yes, we've made it! But it is a milestone that I'm grateful to reach, at home. For all of you in neonatal land, you know what I'm talking about. For the others...until today, there was a 0% chance for Jack to be born & survive. Now this is a chance, albeit a small one, that if he was born, he could survive with maximum intervention. This "maximum intervention" is part of my job and I am intimately aware of the journey. Intimately aware, but not emotionally aware, because I have never stood by the bed of my own precious premature baby, feeling what I have observed so many times. When it's your job, you can & must compartmentalize it, so you can go back day after day, year after year and help where it is in your realm to help. When my mind goes there, terror seizes my heart and I leave that place as quickly as I can, talking to Jack & telling him that I will do everything in my power for him to be born in December, full-term!

Don't get me wrong, it's not easy to sit here, waiting. Yes, I fill the hours with semi-productive activities, especially sleep. I don't dwell too much on the future, just today. Mr. Tarheel is a big help, spending all his non-work, non-sleeping hours creating little mental diversions to distract me. He has told me the history of the Spartan/Persian war with a side discussion of using terrain to your advantage in battle. Then we watched the movie 300 and I actually liked it. We sit and watch the cows each day and here he told me the history of the development of the black and red Angus breeds in England and I had no idea he knew all this. We talk about where we want to travel and where will be the best places to take Jack at different ages. We agree that a toddler shouldn't and won't go on an 18 hour plane trip! We discuss parenting and I'm in awe of his introspection about what it takes to be a good parent. We wait together....for Jack.

A Tribute To Aunt Kat

Mary Kathleen Weishaar: 10/5/1932-8/20/2007...my beloved "Aunt Kat" died last Monday. She was actually my great-Aunt, my Grandmother's sister, who had moved so far from home over 40 years before and we ended up living in the same place. Although she suffered from the complications and pain from rheumatoid arthritis, she was a wonderful example of how to age with dignity and grace. She so rarely complained, that occasionally, I would force her by telling her that she had to for at least 1 minute...she never could complain for the entire minute. Except for the very end, her mind was sharp and she was kind and tolerate to those around her with dementia. Once we were discussing how some people suffer only in the mind and some, like her, suffer only physically. She had a profound response, "It's best if your body and mind wear out at the same time."
She loved the Seattle Mariners and she transferred that love over to me. We were known to talk on the phone through half the game, sharing commentary and opinions about the players, managers, and opposite team. She loved it when they beat the Yankees, especially if there was a "fight" during the game. Now I feel an emptiness during the games because I can't call to ask her opinion about the manager getting thrown out or why we get to the edge of winning and then lose 3 games to the Angels.

She was my little piece of North Carolina in this place over 3000 miles away. When you grow up in a place, even separated by 30 years, there is a comfort in "knowing" it and the history of all of the extended family without explanation. For years, she would prepare "home cooking" like fried chicken and okra for me and she was excited when I found a vendor at Pike Market that sold fried chicken livers--her favorite. Her speciality for years was making dish cloths out of a certain type of blanket that she would find at second hand stores and giving them away. She loved helping those she loved and found joy in their smile. She was a giver, in the true sense of the word.

Now, she's physically gone but I'm a better person to have known and loved her and I am so lucky to have been loved by her. Rest in peace, Aunt Kat.....

23 weeks Today!

Yesterday was the scheduled US and appointment with Dr. Tracy. Like last time, it was great to see Jack and they checked, he's still a boy! Interval growth was normal and estimated weight was 641 grams (1 lb, 6 oz)! He turns/moves alot and likes his hands by his face. He rests his right arm/hand on his forehead, like he's irritated at all the commotion. Mr. Tarheel went with me to the appt for the first time...I introduced him as my better half (isn't that the truth!). He recognized Dr. Tracy's skill/compassion and was impressed that she asked him for questions and answered them. He asked her to tell me not to research my condition on the internet anymore...she put her hand on my arm and said, "Stop!". He's really concerned about my persistent, moderately severe left foot/calf swelling (the right one is normal), so I'm going to get a doppler study next week to check the circulation. I don't think I have a blood clot b/c it's not red or painful and has been swollen since 11 weeks. Maybe I have a case of "bad vein valves"...that is so low on my list of concerns right now, but it's good he's watching out for me!

After just walking in to the office my BP was 150/82, meaning that's a little too much activity. My morning labetalol was doubled to 100mg twice a day and I was hoping for a normal BP. She reviewed all my BP readings and said the higher dose will help lower them. They range from 126-150's/70-84. Now I'll take my BP twice a day after rest and twice a day after activity...& call her if they reach 160/100. I asked about threshold for more aggressive (IV) treatment...she said at 160-180/110, you have to go into the hospital. Does anyone want to help me design my own home flowsheet for my BP?

Thinking back over the discussion, she presented a good combination of realism and optimism. She said we don't need to give you the betamethasone "yet"...Mr. Tarheel said, "What's that for?" and she said to accelerate the lung development. She went on to say that many times pre-eclampsia develops rapidly and you need it yesterday in these cases...meaning sometimes, you can't wait 48 hours to deliver after presentation. I asked her what chance she thought I had to develop pre-eclampisa...she said, "50%, but probably after 35 weeks"....I like this educated guess! She mentioned again that complete bedrest may be in my future.

So now the plan is to come back on 9/6, repeat PIH labs, do the glucola (checking for gestational diabetes) and check for some auto-immune issues that could be the needle in the haystack causing all this. So, I'm sitting around here on the farm, watching Mr. Tarheel do all the work except my job of growing Jack!

YIPPEE...UNC Basketball Schedule is Out!

Yes, all you Tarheel fans, or friends/family of the #1 Tarheel fan...aka...me. Today was the day & they made me wait a full 10 days later than last year (what's up with that Roy?).....the schedule is OUT! There are 2 games west of the Mississippi, but in late November, Tarheel88 will not be more than a lights and sirens drive from Swedish Medical Center at 36 weeks pregnant...poor Jack will be wondering what in the world is happening outside of his nice womb to make his Mom yell so loud! He'll be so happy to know he was born before the conference games begin...b/c that is on Jan 6 and he must head out before then! Yes, Tarheel88 is a crazy, screaming, lunatic during the games...what do you expect from the #1 fan!

I see my UNC beat Duke night will be on Feb 6...so watch out....the Cameron crazies will be doing what they were doing last year during the NCAA tournament...watching UNC win on TV! Coach K might better line up his next career with American Express....

So I'm off to memorize the schedule....with a smile on my face:)
Check out the website for the schedule:
http://tarheelblue.cstv.com/sports/m-baskbl/unc-m-baskbl-body.html

The Ups/Downs of Blood Pressure

After a few days on the Labetalol, I'm an expert on the drug. First of all, I can spell it correctly now and I know intimately the ebbs/flows of it's effects and side effects. The half life is 6-8 hours...I'm thinking the shorter time due to my increased volume of distribution (don't let your mind wonder...the increased blood volume of all pregnant women!). After about an hour of taking it, I feel wonderful for about 5-6 hours, except the side effect of drowsiness. This is an extreme drowsiness like working night shift and to stay awake, you have to force your eyes to stay open. Of course, I'm sitting around all the time, so I just take a nap. I fall asleep within seconds....no more insomnia! I take it about every 12 hours, so my feeling good time at night is while I'm sleeping. There is a relatively unknown side effect of beta blockers that I'm having...decreased anxiety! Wow, a side effect that I like, that is actually helping me! My BP is related to activity...when I'm active, it's too high...so I sit around most of the time. Reading, watching the Mariner's win, looking for the end of the internet, and of course, talking (on the phone) are my favorite activities this week.

Time keeps ticking, ticking, ticking..into the future.....

Counting Time: 22 weeks

There are so many different ways to count time...we celebrate years on our birthdays, months until the next season or vacation, days until Friday, hours until the alarm goes off, minutes during sports events, and seconds during pain. Today, I'm 22 weeks and I'm counting the weeks until Jack has the possibility of being a healthy baby. Of course, I still pray for a healthy term baby, but my compromise would be just a healthy pre-term baby. Yesterday was another doc visit, this time with Dr. Tracy. As always, she was the picture of reassurance and calmness. She reviewed my BP readings--about 4 a day anywhere from 130-164/70-86 and said, yes, you have gestational hypertension, let's start you on labetolol. I like ACTION! This will lower my BP and so far has made me very drowsy. That's OK, I have plenty of time for naps.

She wants to be conservative and have me not work until this is resolved. She reiterated that my chances for pre-eclampsia are higher now but with the next breath said, "but you don't have it now. We are at the beginning of our treatment ability for this, so just go home and rest. " I told her that I had done some research of my own and she said for me to remember that I don't have the context to put it in, so don't get my tail feathers ruffled. Next visit will be in 1 week on 8/24 and we'll have an ultrasound to check Jack's growth before the visit since high BP can decrease growth in the baby.

Mr. Tarheel is just learning about all this and is processing it pretty fast. Tucker likes to have me around all the time. I went on the library website and requested lots of books and movies from Netflix. I'm going to pick up some yarn and start on a baby blanket for Jack. That's a great activity during the Mariner's games. Luckily for me, they are playing 44 out of the next 45 days. I'll try to read the recommended Bleak House by Charles Dickens. I'm sure I'll not have time for any Dickens in the next few years!

My First "Abby-Normal"--Gestational Hypertension

Here is Mr. Tarheel & my niece Grace...my sister April came for a visit with 11 month old Grace. What a wonderful visit! This was just after 5am at the airport...thus the tired faces!

I had a regular prenatal visit with Dr. Tracy and my BP was up a little...138/84, up from 110/60. She wanted me to keep taking it myself and let her know if it ever got to 140/90 and come back in 2 weeks instead of 4. So on Monday, I was at work and not feeling very good. It's a feeling of not being quite right, tired, slight headache. I took my BP myself and it was about 144/90, so I called the office. I drank about 40 oz of water in 3 hours b/c I felt a little dehydrated. When I went over to the appt with Dr. Pray, it was 166/90. It came down a little with more rest. She said your long shifts are over and you must rest until this resolves. I had PIH labs done stat and they were normal. I'm going back to see Dr. Tracy on Friday & do a 24 hour urine collection for protein (don't ask!). So since I didn't have hypertension before pregnancy, my diagnosis is gestational hypertension.

So with lots of rest--2 or 3 naps a day and sleeping 8-9 hours at night, my BP is between 130-150/74-84...so rest is helping. It's frustrating for a control gal like me to not have any control over my own body..but sometimes I am just lying on the couch and my pulse is bounding enough for me to count my heart rate in my head. Weird..huh. Of course, sometimes I can let myself go down the dark road of worry, but I would say that overall, I'm positive & upbeat b/c it's not getting worse right now. My risk of pre-eclampsia is higher now, up to 25%, but I keep telling myself that there's a 75% chance of it not occurring. Jack is moving more and sometimes there are lumps or body parts that I can feel on the outside--interesting! I talk to him and tell him to hold on, grow big & fast, and if needed, I'll hang upside down for him to stay in there as long as possible!

Side note...the 2007-2008 UNC Basketball roster is out....usually, there is a time when I am learning everyone's statistics, position, hometown, etc but alas, we only have 1 new player. He is Will Graves, a red-shirt freshman and now the heaviest player on our team...he must be built like a brick wall...6-6 and 245 lbs! They update this roster and it's even been known for a player to lose an inch of height (how is that?) but I'll bet by Jan/Feb, Mr. Graves will slim down a little after he does all the running that Roy demands! I'm still waiting (impatiently) for the schedule to be released...it should be anytime.

The Apple Has a Stem

August 1st came & went and we had our anatomy screen of the baby. Beginning several days before, I started feeling more and more both excited and nervous. I knew if an anomaly was identified, I would have a new set of concerns...but I keep telling myself that it is a 98% chance for everything being healthy. I prayed alot and was unusually calm (some denial mixed in too). I told Karen, our ultrasound technician, that I took care of sick babies....she responded with "I know your type" and then smiled. She was great to tell us what she was looking for and then a "normal" afterwards. The baby was moving around alot and kicking, with hands by the mouth...it was great to see. Mr. Tarheel smiled really big. All measurements/growth/everything was reported as "normal". I'll see the written report when I go see Tracy on Wednesday. As she was scanning down the abdomen, Karen asked, "would you like to know the gender?". We said yes, together. The image was perfectly clear...a boy! We're so happy & can start calling him by his name....Jack Christopher!